Active NPI
Elizabeth Mary Munoz, SLP
- Speech-Language Pathologist
- Sunrise, FL
National Provider Identifier
1386736833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA 7524
- Practice address
- 12521 NW 10TH St
Sunrise, FL 33323-3191 - Phone
- (954) 514-1090
- NPI assigned
- Sep 29, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA 7524 | FL | Primary |
Addresses
Primary practice location
12521 NW 10TH St
Sunrise, FL 33323-3191
Mailing address
12521 NW 10TH St
Sunrise, FL 33323-3191
Phone (954) 514-1090
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890319100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA 7524 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210204800000",
"number": "1386736833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12521 NW 10TH ST",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333233191",
"telephone_number": "954-514-1090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12521 NW 10TH ST",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333233191",
"telephone_number": "954-514-1090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNOZ",
"first_name": "ELIZABETH",
"middle_name": "MARY",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-29",
"last_updated": "2008-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA 7524",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890319100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sunrise, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.